Chilled Semen Request Form

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1 Chilled Semen Request Form Semen orders must be received by 5pm the day before the collection please call to confirm order (02) Collections available Monday-Friday. If a Monday collection is required, please phone (02) to notify the after hours vet. Request forms to be ed to equine@canberravet.com.au or faxed to (02) VERBAL REQUESTS WILL NOT BE ACCEPTED. Collection Details Stallion: Mare: Treating vet clinic: Stallion Owner: Date semen collection required: Phone: Contact name: Freight details: Qantas Freight (please select option): QGo Priority or QGo Express (see attachment for details) Destination: Express Post Delivery address: Billing details Mare owner s name: Postal address: Other courier option (provide details): Courier company: Contact phone: Account number: Account name: Type of service: Pickup to be booked before (time): Delivery address: Phone: Fees: Collection fee: $295 Stallion handling fee: $71.70 (may not be charged if owner competent to handle stallion) Courier to depot: $49.10 (if CEH required to transport semen to airport or courier depot) Freight: (depending on selected freight option) $TBA Payment details: / / / Collections will not be released until payment has been made. exp / Name on card: Signature: Declaration: Semen is always assessed at time of collection and all care and diligence is taken prior to dispatch to freight company. However, Canberra Equine Hospital will not be held liable for any costs/damages incurred by the mare owner or any third party that are associated with lost, delayed or damaged semen or unavailability of chilled semen. It is the mare owner s responsibility to choose freight methods to suit the destination and time required. Canberra Equine Hospital does not offer any warranty as to the fertility of any stallion standing at or available at Canberra Equine Hospital. The mare owner indemnifies Canberra Equine Hospital from and against any such claim/s. By signing and/or completing form on behalf of mare owner, third party is authorised to do so by mare owner. Signature of mare owner/agent: Print Name: Date: OFFICE USE ONLY Con Note No: QGO Priority/QGO Express/Other:

2 When deadlines are critical Sometimes almost impossible deadlines mean your shipments need to be moved more urgently than any other time. With Q-GO Priority we guarantee the uplift of your goods on the flight you need them to be on. Choosing Q-GO Priority ensures your goods a place on the aircraft above all other cargo. It gives you peace of mind knowing your goods will be delivered exactly when and where you expect them to be. We take all the right measures to make sure your shipment is uplifted as booked. Upon acceptance at our ground handling facility, your shipment is identified with Q-GO Priority labels, individually noted on flight planning documentation and the operating captain s flight orders. Existing bookings can be upgraded to Q-GO Priority at any time prior to the published flight cut-off. You choose the flight Peace of mind knowing your goods will be delivered exactly when you plan 100% guaranteed uplift of your goods No surprises, just comfort knowing that your goods will arrive exactly when you expect Shipment uplift confirmed to your nominated mobile or address upon flight departure Reassurance that your goods are where they should be Specific labels identifying freight Your goods receive priority handling on the ground and in the air. For domestic Australia shipments your goods receive last on and first off handling Market leader in Australia and far reaching global partner network Send emergency shipments almost anywhere in Australia and to more than 480 international locations

3 Q-GO Priority features Key product features Priority space access Booking required Money back guarantee Cancellation policy Yes. Dedicated space blocked on all available flights and priority over all other freight. Yes. Telephone bookings only. Yes. There is no charge for air carriage if any part of the booked shipment is not uplifted as booked. Please speak with one of the Qantas Freight Sales team for further information. A cancellation fee equivalent to 50 per cent of the quoted total cost will apply if cancelled on the day of departure. Handling Booking time Acceptance time Delivery time Special handling Dedicated labelling Dangerous Goods Online tracking Freight monitoring As per published standards at port of origin.* As per published standards at port of origin.* As per published standards at port of destination. For domestic Australia shipments your freight can be delivered in just 45 minutes after aircraft arrival.* Individually noted on load documentation and Notice to Operating Captain. Yes. Labels identify Q-GO Priority freight to ensure handling of your freight receives high priority on the ground and in the air. Yes. Yes. Registered users at qantasfreight.com can monitor Q-GO Priority freight at important steps of its journey. Dedicated guard or courier monitoring available by prior arrangement. * Visit qantasfreight.com for more information. Equipment and facilities Dedicated containers available Loose freight Security restricted strong rooms Coolrooms / freezers Yes. Shipper loaded units accepted by prior arrangement. Yes. You may lodge loose freight if this suits your shipping needs. Important Information 1. The space available for Q-GO Priority is limited on each flight and the product will not be available for sale if this allocation has been exhausted. 2. Goods must be delivered to and accepted by Qantas Freight or nominated handling agent within the published acceptance times at the port of origin for space and money back guarantees to be valid. 3. Conditions apply to the Money Back Guarantee, please go to qantasfreight.com or speak with your Sales Representative for more information. 4. For booking, acceptance and delivery times please visit qantasfreight.com Contact Qantas Freight When you next consider arrangements for moving goods, we welcome the opportunity to understand your freight requirements. For more information please visit qantasfreight.com or contact your local Qantas Freight Sales Representative.

4 When freight needs to move fast Sometimes you simply need to move freight faster than usual. That s why Qantas Freight offers Q-GO Express. Whether it s electronic equipment, luxury cars or an online order that needs to move across the globe, Q-GO Express gives you the option to move your goods quickly. With Q-GO Express, Qantas Freight offers you express handling both on the ground and in the air. Receiving faster delivery on arrival means you can deliver to your customers sooner. And frequent Q-GO Express users can secure allocations to provide capacity certainty. Timely acceptance and delivery Late lodgement and early pick up of your goods Specific labels identifying freight for express delivery Your goods receive express handling on the ground and in the air so you can deliver to your customers faster Market leader in Australia and far reaching global partner network Send urgent shipments almost anywhere in Australia and to more than 480 international locations

5 Q-GO Express features Key product features Priority space access Money back guarantee Cancellation policy Yes. Limited space is available. For guaranteed freight uplift please book Q-GO Priority. No. For a money back guarantee please book Q-GO Priority. No. Handling Booking time Acceptance time Delivery time Special handling Dedicated labelling Dangerous Goods Online tracking Freight monitoring Express handling as per published standards at port of origin.* Short acceptance as per published standards at port of origin.* Express handling as per published standards at port of destination.* Individually noted on load documentation and Notice to Operating Captain. Yes. Labels identify Q-GO Express freight to ensure handling of your freight receives express priority on the ground and in the air. Yes. Yes. Registered users at qantasfreight.com can monitor Q-GO Express freight at important steps of its journey. Dedicated guard or courier monitoring available by prior arrangement. * Visit qantasfreight.com for more information. Equipment and facilities Dedicated containers available Loose freight Security restricted strong rooms Coolrooms / freezers Yes. Shipper loaded units accepted by prior arrangement. Yes. You may lodge loose freight if this suits your shipping needs. Important Information For booking, acceptance and delivery times please visit qantasfreight.com Contact Qantas Freight When you next consider arrangements for moving goods, we welcome the opportunity to understand your freight requirements. For more information please visit qantasfreight.com or contact your local Qantas Freight Sales Representative.